Individual
MARISSA B ANDERSON-CHERNISHOF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D., M.S.
Contact information
Practice address
1800 NW MYHRE RD, SILVERDALE, WA 98383-7663
(360) 744-8800
Mailing address
1800 NW MYHRE RD, SILVERDALE, WA 98383-7663
(642) 403-1075
(564) 240-3117
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD61188611
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2182680
—
WA
Enumeration date
05/02/2014
Last updated
05/12/2024
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